Organization Active NPI

Golden Heart Companionship LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cleveland, OH
National Provider Identifier
1033904503
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
GOLDEN HEART COMPANIONSHIP LLC
Practice address
12800 Shaker Blvd
Cleveland, OH 44120-2000
Phone
(440) 381-5556
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Glory BrissettNPI 1154090587
Title
Program Manager
Phone
(440) 381-5556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

12800 Shaker Blvd
Cleveland, OH 44120-2000

Mailing address

12800 Shaker Blvd
Cleveland, OH 44120-2000

National Provider Directory

National Provider Directory

Locations

12800 Shaker Blvd
Cleveland, OH 44120
Phone (216) 491-4867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1033904503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 SHAKER BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 SHAKER BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202000",
            "telephone_number": "440-381-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEART COMPANIONSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "BRISSETT",
        "authorized_official_first_name": "GLORY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "440-381-5556"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.